Clinica de Servicios Psicologicos de Transformacion Integral Metamorfosis Project PR Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLINICA DE SERVICIOS PSICOLOGICOS DE TRANSFORMACION INTEGRAL METAMORFOSIS PROJECT PR INC

Practice address

65 Calle Baldorioty
Coamo, PR 00769-2412

Phone

(787) 614-3205

NPI assigned

Jan 22, 2025

Last updated

Mar 6, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenda M Anglada RiveraNPI 1003589425

Title

Clinical Psychologist

Phone

(787) 614-3205

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Michelle Anglada Rivera

  • Clinical Psychologist
  • Coamo, PR
  • NPI 1003589425
  NPD Authorized official
• Karla Esther Torres Roman, PSY.D

  • Clinical Psychologist
  • Juana Diaz, PR
  • NPI 1568774404
  NPD
• Eddie William Millan Carrero, PH. D.

  • Clinical Psychologist
  • Juana Diaz, PR
  • NPI 1851606859
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1306658828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CALLE BALDORIOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692412",
            "telephone_number": "787-614-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CALLE BALDORIOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692412",
            "telephone_number": "787-614-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SERVICIOS PSICOLOGICOS DE TRANSFORMACION INTEGRAL METAMORFOSIS PROJECT PR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "ANGLADA RIVERA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-614-3205"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinica Pap Policlinica
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• Clinica Terapeutica Atletica Loavi
• Coamo Health Institute
• Coamo Imaging Center

• Clinical Psychologist in Coamo, PR
• Providers in Coamo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.